Organization
ACCESS HEALTH LOUISIANA
Active
Other names
Tangipahoa Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEISER (PRESIDENT)
(504) 575-3700
Entity
Organization
Contact information
Practice address
42351 PHYLLIS ANN DR, HAMMOND, LA 70403-1254
(985) 956-7406
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2396099
—
LA
Enumeration date
05/11/2015
Last updated
09/15/2016
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